Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003200171 Individual Practitioner Male Practitioner

Dr. William Kelly , MD

Pediatrics • Lompoc, CA

Professional Overview & Biography Verified Profile Summary

Dr. William Kelly, MD is a registered healthcare professional specializing in Pediatrics in Lompoc, CA. Practice services are available at 425 W CENTRAL AVE STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 W Central Ave Ste 201

Lompoc, CA 934362807

Telephone 8057371169
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lompoc, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Lompoc, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA 156668

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1400 Pelham Pkwy S, Jacobi Medical Center

Bronx, NY 104611138

Phone: 7189183230

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1023050796

Doctor of Osteopathic Medicine (D.O.)

NPI 1235757790

Doctor of Medicine (M.D.)

Joseph Gossner , LCSW

Social Worker - Clinical

NPI 1376129569

Licensed Clinical Social Worker

Sienna Corbin , PA-C

Physician Assistant

NPI 1508580820

Physician Assistant (Certified)

Dr. Noor Al-Saud , MD

Internal Medicine

NPI 1548882566

Doctor of Medicine (M.D.)

Alejandro Torres , PA

Physician Assistant

NPI 1578999124

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 27, 2023

Registered at 425 W CENTRAL AVE STE 201, LOMPOC, CA 934362807 (Tel: 8057371169)

📍
Updated Business Mailing Address August 06, 2018

Registered at 2050 S BLOSSER RD, SANTA MARIA, CA 934587310 (Tel: 8053618028)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2018

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location July 05, 2018

Registered at 425 W CENTRAL AVE STE 201, LOMPOC, CA 93436 (Tel: 8057371169)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Pediatrics (License #156668 in CA)

NPI Profile Active March 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2015

Registered at 1400 PELHAM PKWY S, JACOBI MEDICAL CENTER, BRONX, NY 104611138 (Tel: 7189183230)

📍
Updated Business Mailing Address March 26, 2015

Registered at 1400 PELHAM PKWY S, JACOBI MEDICAL CENTER, BRONX, NY 104611138

👤
Provider Name / Credentials Updated March 26, 2015

Recorded as WILLIAM KELLY, M. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003200171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2015
Last Update: October 27, 2023
Sole Proprietor: No

Mailing Address

2050 S Blosser Rd

Santa Maria, CA 934587310

Phone: 8053618028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.